NPIMap

Organization Active NPI

Body Concepts Inc.

Doing business as Body Concepts

  • Physical Therapy Clinic/Center
  • Folsom, CA
National Provider Identifier
1841396033
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT14742 Issued in CA
Legal business name
BODY CONCEPTS INC.
Doing business as
Body Concepts
Practice address
1675 Creekside Drive
Ste 101
Folsom, CA 95630-3891
Phone
(916) 939-6800
Fax
(916) 939-6874
NPI assigned
Sep 15, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Bruce Kopitzke, P.T.NPI 1699823146
Title
President
Phone
(916) 939-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT14742 CA Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1675 Creekside Drive
Ste 101
Folsom, CA 95630-3891

Mailing address

1675 Creekside Drive
Ste 101
Folsom, CA 95630-3891
Phone (916) 939-6800

Other names 1

  • Body Concepts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050505000648 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476506676 Receives reassigned benefits from 4 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory
Tax ID family
Body Concepts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4919 Windplay Dr
Ste 4
El Dorado Hls, CA 95762
Phone (916) 939-6800

1675 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 939-6800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1841396033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CREEKSIDE DRIVE",
            "address_2": "STE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303891",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CREEKSIDE DRIVE",
            "address_2": "STE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303891",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CONCEPTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "KOPITZKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-939-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT14742",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.